A nurse is assessing the muscles of an older adult. What will be assessed?
A) temperature, turgor, moisture C) degree of flexion, associated pain
B) mass, tone, strength D) reflexes, range of motion
B
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A patient is critically ill in the CCU and is on complete bed rest. What strategy should the nurse use to prevent phlebitis leading to thromboembolism?
A) Repeated attempts to insert intravenous catheters B) Maintain overall blood volume slightly low C) Maintain complete bed rest D) Passive exercises of lower extremities
A nurse is studying the increased infant mortality rate at a local hospital in a largely African American community. The nurse notes that there are very few options for prenatal care in the community and recognizes that this is an example of
A. Health disparity B. Health inequity C. Health injustice D. Social determinant of health
The nurse is working with a student nurse during assessment of a 2-hour-old newborn. Which action indicates that the student nurse understands neonatal assessment?
1. The student nurse listens to bowel sounds then assesses the head for skull consistency and size and tension of fontanelles. 2. The student nurse checks for Ortolani's sign, then palpates the femoral pulse, then assesses respiratory rate. 3. The student nurse determines skin color, then describes the shape of the chest and looks at structures and flexion of the feet. 4. The student nurse counts the number of cord vessels, then assesses genitals, then sclera color and eyelids.
A child with inflammatory bowel disease is prescribed prednisone daily. At which time is it most appropriate for the family to administer the prednisone?
1. Between meals 2. One hour before meals 3. At bedtime 4. With meals